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Shoals Neurology Clinic, P.C.

Details

Name: Shoals Neurology Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 31 Aug 2006 (18 years ago)
Date of dissolution: 29 Dec 2008
Entity Number: 000-248-960
Register Number: 000248960
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 122 HELTON COURTFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: 1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396857678 2006-08-31 2020-08-22 122 HELTON CT, FLORENCE, AL, 35630, US 122 HELTON CT, FLORENCE, AL, 356301465, US

Contacts

Phone +1 256-718-0099
Fax 2567180006

Authorized person

Name DR. SIRIPIREDDY R REDDY
Role PRESIDENT
Phone 2567180099

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number 9618
State AL
Is Primary Yes

Agent

Name Role
REDDY, S R Agent

Incorporator

Name Role
REDDY, S R Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State